Center States Tai Chi Chuan

BEGINNING CLASS REGISTRATION FORM

Section I

(Postures 1-18)

7 WEEKS (14 HOURS) 

DATES: November 6 - December 20, 2017

DAY/TIME: MONDAY & WEDNESDAY, 6:30 7:30 PM

COST: $250

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To enroll, please fill out this form and send it along with a check or money order for the full amount to: Center States Tai Chi Chuan, 111 E. Gregory Blvd. , Kansas City , MO 64114. 

PayPal: centerstatestaichi@gmail.com

Credit Cards (MC, Visa, Discover) accepted by phone or in-person (Credit cards are subject to a 3% transaction fee).  Call 816-531-0065

Class fees are non-refundable and cannot be applied to any month or months other than those initially paid for.

 

 

 

Name______________________________________________________

                  

 

Phone______________________________________________________                                        Age_____________

 

 

 

Alternate Phone______________________________________________

 

Email_______________________________________________________

 

Please check with your physician or health specialist if you think there might be some restrictions on your ability to participate in Tai chi class.   Back to Home Page